Pregnancy is the most common cause of menstrual delay during the reproductive period, which we call the reproductive period. All reasons other than this:
- Ovulation (anovulation),
- Polycystic ovary syndrome,
- use of external hormones,
- Hormonal causes (hypo-hyperthyroidism etc.),
- Myomas ,
- Endometrial polyps,
- Uterine wall thickening (endometrial hierolasia),
- Coagulation disorders,
- Hematological causes,
- Lesions in the cervix,
- Infections can cause,
- menstrual irregularity.
In addition, stress, excessive exercise, excessive weight loss, menstrual irregularity can be seen in seasonal changes.
How is the diagnosis made?
Sometimes MRI may be required because of pelvic masses. Hormone tests, complete blood count, coagulation factors, tumor marker may be requested. When intrauterine pathologies are suspected, it may be necessary to take a piece from the uterus. All results are evaluated and the treatment is directed.
How to Treat?
A comprehensive gynecological examination is required to detect the cause of menstrual irregularity. Vaginal examination, vagina and cervix (cervix) are evaluated, smear is taken. The uterus is then evaluated, preferably by vaginal ultrasound.
The thickness and structure of the endometrium shed with menstruation is examined, and whether there is any pathology (endometrial polyp, intracavitary myoma, pregnancy, isthmocele) that may cause bleeding in the endometrium. By examining the muscle layer (myometrium) structure of the uterus, it is evaluated whether there is adenomyosis or myoma uteri. The structure of the eggs is examined to see if they are polycystic, chocolate cyst (endometrioma), simple cyst or complicated cyst.
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